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Prescribed time histories movement and loading of the tibiofemoral joint (six degrees of freedom) representative of pivot shift data:

 * flexion
 * internal/external rotation torque
 * varus/valgus torque
 * anterior/posterior force
 * medial/lateral force
 * compression/distraction force
Line 31: Line 40:

Six degrees of freedom loading of tibiofemoral joint (prescribed flexion; internal/external rotation and varus/valgus moments; anterior/posterior, medial/lateral and compression/distraction forces):

TableOfContents

Synopsis

The overall goal of this case study is to provide the utility of Open Knee(s) - Generation 1 model for reproducing the outcome of a clinical test, the pivot shift, for evaluating mechanical function of the anterior cruciate ligament.

Use Case

The case is based on reproduction of a pivot shift loading scenario in a tibiofemoral joint model. The loading scenario was measured in a cadaver knee during pivot shift tests conducted by an orthopaedic surgeon. In follow-up robotics testing, this loading profile was adjusted for robotics testing of intact, ACL deficient, and ACL reconstructed knees. The use case aims for illustrating the capacity of the Open Knee(s) - Generation 1 model to reproduce the clinical differentiation of intact and ACL deficient knee in a virtual sense.

Simulation Aims

  • To understand the role of ACL for stabilization of the joint during pivot shift testing (primary)
  • To explore the correspondence of Open Knee(s) simulation against robotics prescribed pivot shift loading of various knees (secondary)

Model

The model is based on Open Knee(s) - Generation 1 model, which was updated for FEBio version 2.1:

Inputs

Prescribed time histories movement and loading of the tibiofemoral joint (six degrees of freedom) representative of pivot shift data:

  • flexion
  • internal/external rotation torque
  • varus/valgus torque
  • anterior/posterior force
  • medial/lateral force
  • compression/distraction force

Outputs

Simulation Conditions

  • with intact ACL
  • without the ACL (very low stiffness for convenient modeling and simulation workflow)

Team Members

Progress

Source Code Repository

https://simtk.org/svn/openknee/app/PivotShift/

Data

https://simtk.org/svn/openknee/app/PivotShift/dat/

Model Customization

https://simtk.org/svn/openknee/app/PivotShift/src/

Simulations

Post-Processing

https://simtk.org/svn/openknee/app/PivotShift/sol/

Publications

https://simtk.org/svn/openknee/app/PivotShift/doc/

References

Cases/PivotShift (last edited 2016-05-04 22:09:50 by localhost)